Tonight, both Fred & Phyl were surprised (and delighted) to hear Tim greet them on the phone. And he was as happy to hear his voice as I was. His first words before he got on the phone were, "Cogito, ergo sum." Descartes didn't, as far as I know, undergo respiratory failure, so he didn't know to say the more fundamental, "Spiro, ergo sum." (See my comment on this one.)
When the Passy-Muir is in place, he's not on the vent at all, and so breathes room air. He did fine for 5 minutes of that, but found it tiring. The literature says it'll take a while for his lungs and diaphragm to build up strength. We'll be patient.
He will be able, eventually, to return to his normal Montgomery t-tube trach, but that'll be after the ventilator and oxygen are gone and he's able to face that surgery.
For now, he did fine with yesterday's goal: when his 24 hours ended this morning, they took blood gases and put him back on the vent. Carbon dioxide levels were up (PCO2=59), and so Dr. Pulmonology ordered him to rest more today. He weaned for five hours this afternoon and evening, and was heading for bed when I left at 9:15.
Since Stu brought up famous, and beautiful, people with trach histories, I thought I'd share pictures of the two women who make up, with Tim, the Brunet(te)s with Tracheostomies Trio.

Catherine Zeta Jones: Tracheostomy after pneumonia in infancy


Liz: Tracheostomy after pneumonia in 1960

And what voices they have, too. Good night!
1 comment:
Descartes, of course, said "I think, therefore I am." And Tim likes quoting him.
But I think right now we really ought to be focusing on how "I breathe, therefore I am."
;^)
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